MS. JEANETTE DAY JICHA (NPI# 1164646063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164646063 |
| Entity Type | Individual |
| Full Name | MS. JEANETTE DAY JICHA |
| Credential | FNP-BC |
| Practice Address |
811 N Tegner St Suite 113 Wickenburg AZ 85390-5409 |
| Mailing Address |
9520 W Palm Ln Suite 200 Phoenix AZ 85037-4403 |
| Practice Telephone | 8778095092 |
| Mailing Telephone | 8778095092 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2013-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP3761 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
811 N TEGNER ST SUITE 113 |
| City | WICKENBURG |
| State | AZ |
| Zip Code | 85390-5409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184628877 | Bradley J Meek | Family Medicine | 811 N Tegner St, Suite 113, Wickenburg, AZ 85390-5409 | 2005-06-09 |
| 1093071821 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 811 N Tegner St, Suites 101, 103, 105, 107, Wickenburg, AZ 85390-5409 | 2012-04-05 |
| 1700158284 | Total Renal Care Inc | Clinic/Center | 811 N Tegner St, Suites 101, 103, 105, 107, Wickenburg, AZ 85390-5409 | 2012-01-31 |
| 1235469057 | Smi Imaging, LLC | Radiology | 811 N Tegner St, Suite 105, Wickenburg, AZ 85390-5409 | 2009-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559471 | Innovative Dermatology Alliance Az, PC | Dermatology | 390 Bralliar Rd, Wickenburg, AZ 85390 | 2020-05-11 |
| 1982040127 | Lottis & Associates, P.C. | Clinic/Center | 55 E. Yavapai St, Wickenburg, AZ 85390 | 2013-05-15 |
| 1760760250 | New Directions Integrative Wellness Center of Wickenburg, Arizona, Pll | Clinic/Center | 370 Palm Drive, Wickenburg, AZ 85390 | 2011-08-01 |
| 1326278953 | Amy Elizabeth Wasserbauer | Psychologist | One E Apache St, Remuda Ranch Treatment Center, Wickenburg, AZ 85390 | 2009-07-16 |
| 1063653061 | Wallace B Mendelson | Psychiatry & Neurology | 1 E. Apache St., Remuda Ranch, Wickenburg, AZ 85390 | 2009-03-20 |
| 1316195902 | Nichole Elsner | Counselor | 920 S Vulture Mine Rd, Wickenburg, AZ 85390 | 2008-09-08 |
| 1992962310 | Judy Rosittia Zobel | Acupuncturist | 519 Rose Lane, Wickenburg, AZ 85390 | 2008-05-22 |
| 1336361179 | Eduardo Rodolfo Huergo | Psychiatry & Neurology | One East Apache Street, Wickenburg, AZ 85390 | 2007-05-02 |
| 1972625515 | Kari Marie Froelicher | Counselor | 315 Apache Street, Wickenburg, AZ 85390 | 2007-04-04 |
| 1477689933 | Wickenburg Unified School District #9 | Local Education Agency (LEA) | 920 S. Vulture Mine Road, Special Education Office, Wickenburg, AZ 85390 | 2007-02-26 |
| Find all providers in zip 85390 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962829713 | Kathleen Pospisil Brady | Nurse Practitioner | 811 N Tegner St Ste 113, Wickenburg, AZ 85390-5410 | 2014-03-18 |
| 1235289745 | Karen J. Lottis | Nurse Practitioner | 55 E Yavapai St, Wickenburg, AZ 85390-2712 | 2007-01-10 |
| 1821614587 | Brittany A Miranda | Nurse Practitioner | 523 Rose Ln, Wickenburg, AZ 85390-1448 | 2020-06-18 |
| 1821518192 | Drema Denae Newman | Nurse Practitioner | 523 Rose Ln, Wickenburg, AZ 85390-1448 | 2017-06-27 |
| 1811435373 | Mary Elizabeth Stoddard | Nurse Practitioner | 520 Rose Ln, Wickenburg, AZ 85390-1447 | 2017-02-05 |
| 1659756542 | Matthew Thomas Jones | Nurse Practitioner | 520 Rose Ln, Wickenburg, AZ 85390-1447 | 2015-07-21 |
| 1578970935 | Scott Stewart | Nurse Practitioner | 519 Rose Ln, Wickenburg, AZ 85390-1448 | 2014-07-17 |
| 1720409535 | Thomas R Rowe | Nurse Practitioner | 108 N Frontier St, N/a, Wickenburg, AZ 85390-4411 | 2013-12-20 |
| 1700098894 | Rebecca Suzanne Walpole | Nurse Practitioner | 1 E Apache St, Wickenburg, AZ 85390-2442 | 2007-05-03 |
| 1366561086 | Helen Cobb | Nurse Practitioner | 1175 W Wickenburg Way Ste 4, Wickenburg, AZ 85390-2262 | 2007-03-28 |
| Find all providers in WICKENBURG | ||||
| City | WICKENBURG |
| Zip Code | 85390 |
Please comment or provide details below to improve the information on MS. JEANETTE DAY JICHA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.